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CAREMARK KANSAS SPECIALTY PHARMACY
CH01326H Community Health Center Of Franklin County, Incorporated
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Covered Entity Details
Entity Name
Community Health Center Of Franklin County, Incorporated
Subdivision Name
North Quabbin Health Center- Dental
Type
HRSA-Funded Health Center
340B ID
CH01326H
Entity Address
119 New Athol Rd, Building 1 STE 120
Orange, MA 01364-9603
Grant Number
H80CS00806
Participating Start Date
10/1/2021
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
4/7/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Hemley van der Velden, CEO
(413) 325-8708
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/7/2025
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